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医生队伍中基于宗教身份的歧视:英国穆斯林医生调查结果

Religious identity-based discrimination in the physician workforce: findings from a survey of Muslim physicians in the UK.

作者信息

Azam Laila, Murrar Sohad, Maravia Usman, Davila Omar, Padela Aasim I

机构信息

Emergency Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Psychology, University of Illinois at Chicago, Chicago, Illinois, USA.

出版信息

BMJ Lead. 2024 Nov 23. doi: 10.1136/leader-2024-001004.

DOI:10.1136/leader-2024-001004
PMID:39580152
Abstract

OBJECTIVE

Examine relationships between religiosity, workplace discrimination, religious accommodation and related professional and psychological outcomes among UK Muslim physicians.

METHODS

In 2021, a national survey of British Islamic Medical Association members was conducted. Statistical analyses explored associations between participant religiosity, sociodemographic characteristics and the specified outcome measures.

RESULTS

Out of 104 participants with a mean age of 39, the majority were male (56%), Asian (81%), adult immigrants to the UK (56%) and wore a beard or a hijāb (73%). Workplace experiences revealed that 40% experienced discrimination primarily based on religious identity, with 44% facing regular discrimination since medical school. Notably, 38% reported current workplace discrimination, 15% encountered patient refusals based on religion and 56% felt heightened scrutiny due to religious identity. Most struggled with prayer at work (69%), and 28% felt inadequately accommodated. In multivariate models, religiosity was associated with experiencing discrimination from patients and struggle with prayer accommodation at work but increased the odds of perceiving religious identity to be accommodated at work. Notably, participants wearing hijāb or a beard reported higher job satisfaction and lower odds of burn-out and depression. Increasing participant age lowered the odds of burn-out but increased the odds of religious discrimination at the current workplace and over one's career, as well as being passed over for professional advancement.

CONCLUSION

These findings underscore the urgent need for the National Health Service to address religious discrimination in the workplace by implementing policies that accommodate the workplace needs of Muslim physicians.

摘要

目的

研究英国穆斯林医生的宗教信仰、职场歧视、宗教便利以及相关专业和心理结果之间的关系。

方法

2021年,对英国伊斯兰医学协会成员进行了一项全国性调查。统计分析探讨了参与者的宗教信仰、社会人口统计学特征与特定结果指标之间的关联。

结果

在104名平均年龄为39岁的参与者中,大多数为男性(56%)、亚洲人(81%)、成年后移民至英国(56%),且蓄胡须或戴头巾(73%)。职场经历显示,40%的人主要因宗教身份遭受歧视,44%的人自医学院起就经常受到歧视。值得注意的是,38%的人报告目前在职场受到歧视,15%的人遭遇患者因宗教原因拒绝就医,56%的人因宗教身份而感到受到更严格的审查。大多数人在工作时难以进行祈祷(69%),28%的人觉得宗教便利不足。在多变量模型中,宗教信仰与遭受患者歧视以及在工作中难以获得祈祷便利有关,但增加了在职场中宗教身份得到便利的几率。值得注意的是,戴头巾或蓄胡须的参与者报告的工作满意度更高,职业倦怠和抑郁的几率更低。参与者年龄的增加降低了职业倦怠的几率,但增加了在当前职场和整个职业生涯中遭受宗教歧视以及在职业晋升中被忽视的几率。

结论

这些发现强调了国民保健制度迫切需要通过实施满足穆斯林医生职场需求的政策来解决职场中的宗教歧视问题。

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